Discussions have begun over the possibility of turning the soon-to-be-vacated Ellon Academy site into a new health facility.
Talks have taken place between NHS Grampian and Aberdeenshire Council regarding the school land.
The academy will close early next month ahead of the move to the new Ellon Academy campus.
Local Councillor Gillian Owen said: “I think we need to look at the site as a whole and look at the needs of the town.
“There is no doubt this is a once in a lifetime chance and whatever is decided we have to get it right.
“I support any type of health centre as the current one is not fit for purpose and the area manager and councillors have met with the practice to have early talks.”
An NHS Grampian spokeswoman said it should be understood that, at this stage, they still had to secure money for a replacement health centre.
She added: “We are keen to retain a town centre presence in Ellon and the present academy site meets that need.
“Early discussions with Aberdeenshire Council resulted in an agreed value being reached for part of the site.”
Aberdeenshire Council head of property Allan Whyte said: “We are currently going through a significant programme of investment in our school estate.
“This also results in disinvestment and any assets which then become surplus to requirements are disposed of in accordance with the Council Surplus Property Policy.”
North East MSP Alison McInnes and local Councillor Isobel Davidson have been calling for new health centre provision in Ellon.
Mrs McInnes said: “Following a meeting with the GPs in April I have since held meetings with Aberdeenshire Council and the Health Board to press the case. It is essential that they both work together for the good of the community.
“These meetings have been useful and I am heartened by the progress that is being made towards securing land for the new facility.”